What Changes are Mandatory in Breast Surgery Training? An International Survey and Recommendations of the French Academy of Surgery and the Senologic International Society
Objective: Breast cancer management has significantly evolved, particularly in surgical techniques, but breast surgery training remains unstandardized worldwide. This study, promoted by the Senologic International Society (SIS) and the French National Academy of Surgery (FNAS) aimed to evaluate trai...
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| Format: | Article |
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Galenos Publishing House
2025-07-01
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| Series: | European Journal of Breast Health |
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| Online Access: | https://www.eurjbreasthealth.com/articles/what-changes-are-mandatory-in-breast-surgery-training-an-international-survey-and-recommendations-of-the-french-academy-of-surgery-and-the-senologic-international-society/doi/ejbh.galenos.2025.2025-3-4 |
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| author | Tolga Ozmen Caroline Bouche Megane Buttignol Bolivar Arboleda-Osorio Mauricio Magalhaes Costa Henry Coudane Darius Dian Xishan Hao Shigeru Imoto Olivier Jardé Hubert Johanet Esther Meka Alexander Mundinger Ruben Orda Vahit Ozmen Tadeusz Pienkowski Schlomo Schneebaum Charlotte Vaysse Susie Brousse Atilla Soran Carole Mathelin |
| author_facet | Tolga Ozmen Caroline Bouche Megane Buttignol Bolivar Arboleda-Osorio Mauricio Magalhaes Costa Henry Coudane Darius Dian Xishan Hao Shigeru Imoto Olivier Jardé Hubert Johanet Esther Meka Alexander Mundinger Ruben Orda Vahit Ozmen Tadeusz Pienkowski Schlomo Schneebaum Charlotte Vaysse Susie Brousse Atilla Soran Carole Mathelin |
| author_sort | Tolga Ozmen |
| collection | DOAJ |
| description | Objective: Breast cancer management has significantly evolved, particularly in surgical techniques, but breast surgery training remains unstandardized worldwide. This study, promoted by the Senologic International Society (SIS) and the French National Academy of Surgery (FNAS) aimed to evaluate training variability in the world and to provide ten recommendations to improve breast surgery training.
Materials and Methods: A 32-question electronic survey was sent between July-August 2023 to the SIS and FNAS network, covering personal experience, training practices, accreditation programs, and fellowship requirements.
Results: A total of 121 breast specialists from 42 countries participated, including mainly general surgeons (56%) and gynecologists (23%). Most respondents (66%) had over 15 years of experience, and 75% were male. While 50% reported that breast surgery fellowships were not mandatory, countries with requirements often stipulated a one or two-year experience and a minimum cases number. Multidisciplinary training was often lacking, with only half of countries requiring rotations in radiology, oncology, or pathology. Disparities in training quality and accreditation were evident, particularly in regions without formal breast surgery programs.
Conclusion: High-volume centers and specialized surgeons consistently demonstrated improved outcomes, including lower mortality and recurrence rates for patients treated for breast cancer. Rising breast cancer incidence, combined with advances in surgical and multidisciplinary care, highlights the urgency for standardized training. Evidence shows that structured programs with volume thresholds, multidisciplinary approach, and modern surgical techniques improve patient survival and satisfaction. The survey underscores the need for international guidelines to ensure equitable, high-quality care. SIS and FNAS recommend a standardized breast surgery education framework with ten actionable proposals to address disparities, optimize training, and enhance global care quality. |
| format | Article |
| id | doaj-art-d7a7ef21458442db8d5b321a74928fb8 |
| institution | Kabale University |
| issn | 2587-0831 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | European Journal of Breast Health |
| spelling | doaj-art-d7a7ef21458442db8d5b321a74928fb82025-08-20T03:30:14ZengGalenos Publishing HouseEuropean Journal of Breast Health2587-08312025-07-0121320021010.4274/ejbh.galenos.2025.2025-3-4What Changes are Mandatory in Breast Surgery Training? An International Survey and Recommendations of the French Academy of Surgery and the Senologic International SocietyTolga Ozmen0https://orcid.org/0000-0002-7136-6195Caroline Bouche1https://orcid.org/0000-0002-8722-4079Megane Buttignol2https://orcid.org/0000-0003-3201-4338Bolivar Arboleda-Osorio3https://orcid.org/0000-0001-8789-0824Mauricio Magalhaes Costa4https://orcid.org/0000-0001-8094-5511Henry Coudane5https://orcid.org/0000-0002-0950-0330Darius Dian6https://orcid.org/0000-0003-0981-4118Xishan Hao7https://orcid.org/0000-0001-7560-5635Shigeru Imoto8https://orcid.org/0000-0002-0878-7851Olivier Jardé9Hubert Johanet10https://orcid.org/0000-0001-9509-510XEsther Meka11https://orcid.org/0000-0002-5187-4707Alexander Mundinger12https://orcid.org/0000-0002-4111-0906Ruben Orda13Vahit Ozmen14https://orcid.org/0000-0003-2973-8247Tadeusz Pienkowski15https://orcid.org/0000-0002-0110-5950Schlomo Schneebaum16https://orcid.org/0000-0001-7560-5635Charlotte Vaysse17https://orcid.org/0000-0002-2374-5879Susie Brousse18https://orcid.org/0000-0001-7311-156XAtilla Soran19https://orcid.org/0000-0002-3398-7230Carole Mathelin20https://orcid.org/0000-0002-7680-0210Harvard Medical School, Massachusetts General Hospital, Department of Surgery, Division of Gastrointestinal and Oncologic Surgery, Section of Breast Surgery, Massachusetts, USAInstitut de Cancérologie Strasbourg Europe (ICANS), Strasbourg, FranceInstitut de Cancérologie Strasbourg Europe (ICANS), Strasbourg, FranceCaribbean Breast Surgery, Pavia Caguas Hospital, Caguas, Puerto RicoNational Academy of Medicine, Rio de Janeiro, BrazilNational Academy of Surgery, Paris, FranceArbeitsgemeinschaft für ästhetische, plastische und wiederherstellende Operationsverfahren in der Gynäkologie e.V. (AWOgyn), Berlin, GermanyTianjin Medical University Cancer Institute & Hospital, Tianjin, ChinaDepartment of Breast Surgery, Kyorin University Hospital, Tokyo, JapanNational Academy of Surgery, Paris, FranceNational Academy of Surgery, Paris, FranceYaoundé University, Yaoundé, CameroonBreast Center Osnabrueck - Breast Imaging and Minimal Invasive Procedures. Franziskus- Hospital Harderberg; Niels-Stensen-Kliniken, Georgsmarienhütte, GermanyUniversity of Tel Aviv, Tel Aviv, Israelİstanbul Florence Nightingale Breast Center, İstanbul, TürkiyePostgraduate Medical Education Center, Warszaw, PolandSourasky Medical Center, Tel Aviv, IsraelDépartement de Chirurgie Oncologique, CHU de Toulouse, Institut Universitaire du Cancer de Toulouse Oncopole, Toulouse, FranceService de Chirurgie, Centre Eugène Marquis, Rennes, FranceMaggee-Womens Hospital, UPMC Pittsburgh, Pennsylvania, USAInstitut de Cancérologie Strasbourg Europe (ICANS), Strasbourg, FranceObjective: Breast cancer management has significantly evolved, particularly in surgical techniques, but breast surgery training remains unstandardized worldwide. This study, promoted by the Senologic International Society (SIS) and the French National Academy of Surgery (FNAS) aimed to evaluate training variability in the world and to provide ten recommendations to improve breast surgery training. Materials and Methods: A 32-question electronic survey was sent between July-August 2023 to the SIS and FNAS network, covering personal experience, training practices, accreditation programs, and fellowship requirements. Results: A total of 121 breast specialists from 42 countries participated, including mainly general surgeons (56%) and gynecologists (23%). Most respondents (66%) had over 15 years of experience, and 75% were male. While 50% reported that breast surgery fellowships were not mandatory, countries with requirements often stipulated a one or two-year experience and a minimum cases number. Multidisciplinary training was often lacking, with only half of countries requiring rotations in radiology, oncology, or pathology. Disparities in training quality and accreditation were evident, particularly in regions without formal breast surgery programs. Conclusion: High-volume centers and specialized surgeons consistently demonstrated improved outcomes, including lower mortality and recurrence rates for patients treated for breast cancer. Rising breast cancer incidence, combined with advances in surgical and multidisciplinary care, highlights the urgency for standardized training. Evidence shows that structured programs with volume thresholds, multidisciplinary approach, and modern surgical techniques improve patient survival and satisfaction. The survey underscores the need for international guidelines to ensure equitable, high-quality care. SIS and FNAS recommend a standardized breast surgery education framework with ten actionable proposals to address disparities, optimize training, and enhance global care quality.https://www.eurjbreasthealth.com/articles/what-changes-are-mandatory-in-breast-surgery-training-an-international-survey-and-recommendations-of-the-french-academy-of-surgery-and-the-senologic-international-society/doi/ejbh.galenos.2025.2025-3-4breast surgery trainingmultidisciplinary approachstandardization |
| spellingShingle | Tolga Ozmen Caroline Bouche Megane Buttignol Bolivar Arboleda-Osorio Mauricio Magalhaes Costa Henry Coudane Darius Dian Xishan Hao Shigeru Imoto Olivier Jardé Hubert Johanet Esther Meka Alexander Mundinger Ruben Orda Vahit Ozmen Tadeusz Pienkowski Schlomo Schneebaum Charlotte Vaysse Susie Brousse Atilla Soran Carole Mathelin What Changes are Mandatory in Breast Surgery Training? An International Survey and Recommendations of the French Academy of Surgery and the Senologic International Society European Journal of Breast Health breast surgery training multidisciplinary approach standardization |
| title | What Changes are Mandatory in Breast Surgery Training? An International Survey and Recommendations of the French Academy of Surgery and the Senologic International Society |
| title_full | What Changes are Mandatory in Breast Surgery Training? An International Survey and Recommendations of the French Academy of Surgery and the Senologic International Society |
| title_fullStr | What Changes are Mandatory in Breast Surgery Training? An International Survey and Recommendations of the French Academy of Surgery and the Senologic International Society |
| title_full_unstemmed | What Changes are Mandatory in Breast Surgery Training? An International Survey and Recommendations of the French Academy of Surgery and the Senologic International Society |
| title_short | What Changes are Mandatory in Breast Surgery Training? An International Survey and Recommendations of the French Academy of Surgery and the Senologic International Society |
| title_sort | what changes are mandatory in breast surgery training an international survey and recommendations of the french academy of surgery and the senologic international society |
| topic | breast surgery training multidisciplinary approach standardization |
| url | https://www.eurjbreasthealth.com/articles/what-changes-are-mandatory-in-breast-surgery-training-an-international-survey-and-recommendations-of-the-french-academy-of-surgery-and-the-senologic-international-society/doi/ejbh.galenos.2025.2025-3-4 |
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